Understanding medical mistrust and HPV vaccine hesitancy among multiethnic parents in Los Angeles

Tsui, Jennifer; Martínez, Bibiana; Shin, Michelle B.; Allee-Munoz, Alec; Rodriguez, Ivonne; Navarro, J Ferran Martínez; Thomas-Barrios, Kim R; Kast, W. Martin; Baezconde‐Garbanati, Lourdes

doi:10.1007/s10865-022-00283-9

Cited by 40 publications

(29 citation statements)

References 53 publications

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“…Finally, 108 relevant articles reporting the data either on vaccine hesitance or acceptance were identified for inclusion in this review ( 8 , 26 – 46 , 48 , 51 – 135 , 143 ). Some additional articles were also used during data synthesis as supportive evidence ( 47 , 49 , 50 ).…”

Section: Resultsmentioning

confidence: 99%

“…Approximately 80% of parents in the USA showed willingness toward vaccination for their children with cancer due to the information obtained through oncologists, and the acceptance rate was quite higher than observed among parents with healthy children (48,49). However, another study conducted in Taiwan highlighted the vaccine hesitancy among parents of children with ADHD owing to the regular use of medications for ADHD (50).…”

Section: Vaccine Hesitancy/acceptance Rates In Children With Comorbid...mentioning

confidence: 99%

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Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review

et al. 2022

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BackgroundThe acceptance of vaccination against COVID-19 among parents of young children plays a significant role in controlling the current pandemic. A wide range of factors that influence vaccine hesitancy in adults has been reported worldwide, but less attention has been given to COVID-19 vaccination among children. Vaccine hesitancy is considered a major challenge in achieving herd immunity, and it is more challenging among parents as they remain deeply concerned about their child’s health. In this context, a systematic review of the current literature is inevitable to assess vaccine hesitancy among parents of young children to ensure a successful ongoing vaccination program.MethodA systematic search of peer-reviewed English literature indexed in Google Scholar, PubMed, Embase, and Web of science was performed using developed keywords between 1 January 2020 and August 2022. This systematic review included only those studies that focused on parental concerns about COVID-19 vaccines in children up to 12 years without a diagnosis of COVID-19. Following PRISMA guidelines, a total of 108 studies were included. The quality appraisal of the study was performed by Newcastle–Ottawa Scale (NOS).ResultsThe results of 108 studies depict that vaccine hesitancy rates differed globally with a considerably large number of factors associated with it. The highest vaccine hesitancy rates among parents were reported in a study from the USA (86.1%) and two studies from Saudi Arabia (>85%) and Turkey (89.6%). Conversely, the lowest vaccine hesitancy rates ranging from 0.69 and 2% were found in two studies from South Africa and Switzerland, respectively. The largest study (n = 227,740) was conducted in Switzerland while the smallest sample size (n = 12) was represented by a study conducted in the USA. The most commonly reported barriers to childhood vaccination were mothers’ lower education level (N = 46/108, 43%), followed by financial instability (N = 19/108, 18%), low confidence in new vaccines (N = 13/108, 12%), and unmonitored social media platforms (N = 5/108, 4.6%). These factors were significantly associated with vaccine refusal among parents. However, the potential facilitators for vaccine uptake among respondents who intended to have their children vaccinated include higher education level (N = 12/108, 11%), followed by information obtained through healthcare professionals (N = 9/108, 8.3%) and strong confidence in preventive measures taken by the government (N = 5/81, 4.6%).ConclusionThis review underscores that parents around the globe are hesitant to vaccinate their kids against COVID-19. The spectrum of factors associated with vaccine hesitancy and uptake varies across the globe. There is a dire need to address vaccine hesitancy concerns regarding the efficacy and safety of approved vaccines. Local context is inevitable to take into account while developing programs to reduce vaccine hesitancy. There is a dire need to devise strategies to address vaccine hesitancy among parents through the identification of attributing factors.

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Section: Resultsmentioning

confidence: 99%

Section: Vaccine Hesitancy/acceptance Rates In Children With Comorbid...mentioning

confidence: 99%

Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review

et al. 2022

View full text Add to dashboard Cite

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“…Odds of HPV vaccine intention were higher among caregivers who intended to vaccinate their child (OR=4.16, 95% CI: 2.79-6.19) and themselves (OR=1.96, 95% CI: 1.29=3.00) against COVID-19. In March, 2021, Tsui and colleagues (2022) conducted a survey of 357 parents of adolescents aged 9-17 years who were participating in an academic enrichment program for low-income, first-generation, racial or ethnic minority families in Los Angeles, California, United States. Among other potential determinants of HPV vaccine hesitancy, the authors measured intention to obtain a COVID-19 vaccine for their children once it became available.…”

Section: Resultsmentioning

confidence: 99%

HPV and HBV vaccine hesitancy, intention, and uptake in the era of social media and COVID-19: A review

Vraga

Brady

Gansen

et al. 2023

Preprint

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Prior to the COVID-19 pandemic, the World Health Organization named vaccine hesitancy as one of the top 10 threats to global health. The impact of hesitancy on uptake of human papillomavirus (HPV) vaccines was of particular concern, given the markedly lower uptake compared to other adolescent vaccines in some countries, notably the United States. With the recent approval of COVID-19 vaccines coupled with the widespread use of social media, concerns regarding vaccine hesitancy have grown. However, the association between COVID-related vaccine hesitancy and cancer vaccines such as HPV is unclear. To examine the potential association, we performed two reviews using Ovid Medline and APA PsychInfo. Our aim was to answer two questions: (1) Is COVID-19 vaccine hesitancy, intention, or uptake associated with HPV or HBV vaccine hesitancy, intention, or uptake? and (2) Is exposure to COVID-19 vaccine misinformation on social media associated with HPV or HBV vaccine hesitancy, intention, or uptake? Our review identified few published empirical studies that addressed these questions. Our results highlight the urgent need for studies that can shift through the vast quantities of social media data to better understand the link between COVID-19 vaccine misinformation and disinformation and its impact on uptake of cancer vaccines.

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“…Mistrust and hesitancy often go hand-in-hand, particularly amongst lowincome, medically underserved communities, so further research is needed to fully elucidate the relationship between medical mistrust and HPV vaccine hesitancy among vulnerable populations. 15,20…”

Section: Discussionmentioning

confidence: 99%

Human Papillomavirus Vaccination Among Low-Income, Underserved Children in the Greater DC and Hackensack, NJ Metropolitan Areas

McLaughlin

Riley²,

Dash³

et al. 2023

Georgetown Scientific Research Journal

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Human Papillomavirus (HPV) is the most common sexually transmitted infection. In 2018, 43 million cases of HPV were recorded in the United States, mostly afflicting young adults in their late teens and early twenties. Gardasil-9, the HPV vaccine currently distributed in the U.S., protects against nine HPV types that cause genital warts and cancers, such as cervical, penile, and oropharyngeal cancer. There is an urgent need for widespread pre-exposure vaccination against HPV among adolescents to prevent the spread of the disease and the future development of associated cancers. This study aims to identify barriers- including lack of knowledge or access, relationship with a provider, and sociocultural factors- to HPV vaccination, to understand the complex motivations behind HPV vaccination and hesitancy to improve vaccine uptake and the health of the community. By identifying these interpersonal and systemic barriers, we can begin to understand what contributes to the lower vaccination rates in low-income, medically underserved communities and what is needed to address them. Data for this analysis was drawn from a quantitative survey and qualitative narratives compiled from key informant interviews (KIIs). Data suggested that receipt of a provider recommendation is associated with vaccine uptake, and greater knowledge of HPV is significantly associated with vaccination. The KIIs revealed that COVID-19 strengthened existing beliefs about vaccination generally, indicating that individuals prone to vaccine hesitancy grew more hesitant while proponents of vaccination pre-pandemic became more supportive after COVID-19. In conclusion, data suggested that increasing the frequency of provider recommendations for HPV vaccination and awareness of HPV would positively impact uptake and result in higher vaccination rates nationwide. Further studies are needed to assess the impact of additional factors, such as medical mistrust, vaccine hesitancy, and stress stemming from COVID-19 on HPV vaccination.

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Understanding medical mistrust and HPV vaccine hesitancy among multiethnic parents in Los Angeles

Cited by 40 publications

References 53 publications

Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review

Barriers and facilitators of childhood COVID-19 vaccination among parents: A systematic review

HPV and HBV vaccine hesitancy, intention, and uptake in the era of social media and COVID-19: A review

Human Papillomavirus Vaccination Among Low-Income, Underserved Children in the Greater DC and Hackensack, NJ Metropolitan Areas

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